| Theme | The Support of Nutritional Condition of Patients with Renal Disease -- Foods for special dietary uses | |
|---|---|---|
| Title | The guideline of diet therapy for renal disease | |
| Publish Date | 1997/10 | |
| Author | Tatsuo Shiigai | Department of Medicine, Toride Kyodo General Hospital |
| [ Summary ] | The Guidelines for Dietary Therapy for Renal Diseases (February 1997) by the Japanese Society of Nephrology recommends a prescription which is safe and effective, so that it can be stuck to by a large number of patients with renal disease. For patients with non-dialyzed chronic renal failure, we usually prescribe 0.6g/kg/day protein and 27 to 36 kcal/kg/day (depending on energy expenditure).To assess dietary compliance and nutritional status, we routinely perform 24 hr urine collections to determine urinary urea and non-urea nitrogen. Ideal protein intake for patients with nephrotic syndrome (excluding minimal change disease) has yet to be established. However, a high protein intake is clearly incorrect. Our prescription, at present, is 0.8g/kg/day protein. In case a more restricted regimen is required, precautions are needed to avoid malnutrition. Periodical determinations of serum and urine chemistry data, such as serum albumin and urinary protein excretion, may also be needed to determine whether the prescribed diet is beneficial and safe. |
|